Pet Emergency Checklist

Please fill out the Emergency Checklist for each of your pets and give a copy to the person most likely to take care of your pets in the event something should happen to you. Give a copy to anyone housesitting or pet sitting. The list(s) should also be displayed in the house where rescue/emergency personnel can readily see it.

This document is protected by international copyright, © 2007 by Janice Marie Phelps. All rights reserved.

This document is protected by international copyright, © 2007 by Janice Marie Phelps. All rights reserved.

Pet’s name: ___________________________________________________________________

Breed/species:_________________________________________________________________

Description: ___________________________________________________________________

Gender: ______________________________________________________________________

Year of birth: __________________________________________________________________

Brand of food: _________________________________________________________________

Quantity of food given at each feeding: ______________________________________________

Pet eats at these times (check each that apply and write in food or treat):

.. In the morning___________________________________________________________

.. Mid-day ________________________________________________________________

.. In the evening ___________________________________________________________

.. At bedtime______________________________________________________________

My pet has the following favorite toy, blanket, or treat that should be provided to him/her in my absence: _____________________________________________________________________ _____________________________________________________________________________

My pet is up-to-date on all required shots: ___ Yes ___ No

My pet’s typical schedule is as follows:

Morning, up at:_________________________________________________________________

Morning activities: ______________________________________________________________ _____________________________________________________________________________

Afternoon activities: _____________________________________________________________ _____________________________________________________________________________

Evening activities: ______________________________________________________________ ____________________________________________________________________________

Bedtime at:____________________________________________________________________ _____________________________________________________________________________

My pet sleeps here: _____________________________________________________________ _____________________________________________________________________________

What others need to know about how my pet travels in the car: ___________________________ _____________________________________________________________________________

What others need to know about walking my dog: _____________________________________ _____________________________________________________________________________ _____________________________________________________________________________

Dogs: My dog needs to go outside to relieve himself/herself every ____ hours.

Cats: My cat’s litterbox needs changed every ____ days.

Fish: My fish need to be given ___ amount of food every ____ days.

Birds: Please clean the birdcage every _____ days using nothing other than the following cleaners _______ ___________________ and supplies ________________________________ which are located _____________________.

My bird is used to ____ hours outside the cage each day.

I do . . .

I do not . . .

. . . want you to take my bird out of his/her cage. Specific instructions regarding taking bird out of cage are below: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________

The following situations/products/foods are dangerous to my pet: _________________________ _____________________________________________________________________________ _____________________________________________________________________________

My pet takes the following medications: _____________________________________________ _____________________________________________________________________________

At these times:_________________________________________________________________

In this manner:_________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________

Pet’s veterinarian’s name: _____________________________________________________

Phone number: ________________________________________________________________

Address:______________________________________________________________________

Boarding facility’s name: _________________________________________________________

Phone number: ________________________________________________________________

Address:______________________________________________________________________

Nearest relative’s name: _________________________________________________________

Phone number: ________________________________________________________________

Address:______________________________________________________________________

Note: In the event of my death or prolonged incapacitation, the following person has agreed to care for my pet: _______________________________________________________________ .

Their contact number is: _________________________________________________________

Their address is: _______________________________________________________________

I ____ have _____ have not noted this in a Will. My attorney’s name is: _____________________________________________________________________________

Phone number: ________________________________________________________________

This document is protected by international copyright, © 2007 by Janice Marie Phelps. All rights reserved.

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